Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yuri Kisilevich

Individual provider Optician · NPI 1639346158

Yuri Kisilevich is an Optician in Lake Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

654 N Bank Ln
Lake Forest, IL 60045-1811
Phone: (847) 234-6541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X

Record details

NPI number1639346158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2008
Last updated in NPPESMay 14, 2008
Mailing address654 Bank Lane, Lake Forest, IL 60045

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